Individual
MR. LONNY DEAN AUSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.E.
Contact information
Practice address
3123 JAMES AVE S, MINNEAPOLIS, MN 55408-2682
(612) 290-7917
(612) 822-8724
Mailing address
3123 JAMES AVE S, MINNEAPOLIS, MN 55408-2682
(612) 290-7917
(612) 822-8724
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0222
MN
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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